Ua manaʻo paha ʻoe ua mae kekahi ʻaoʻao o kou maka a ʻeha wale paha? Malia paha he ʻeha niho ia. Akā i kekahi manawa hiki ke lilo i ʻeha mau a hoʻonāukiuki ʻaʻole hiki iā ʻoe ke loaʻa ke kumu. He mea hoʻonāukiuki maoli kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻeha maka, a i ʻole e like me ka mea i kapa ʻia ma ke ʻano lapaʻau, ʻeha maka.
I ka ʻōlelo maʻalahi, ʻo ka ʻeha maka he ʻeha ia e hiki ke loaʻa ma nā wahi āpau ma kou alo, a puni kou mau maka a me ka waha. Hiki ke hana ʻia e nā mea like ʻole, e like me ka ʻeha, ka maʻi, a i ʻole ka pilikia o ke aʻalolo. Hiki i kēia ʻeha ke hele mai a hele no ka manawa pōkole (ʻoi) a mau paha no ka manawa lōʻihi (mau). No kekahi poʻe, ua like kēia ʻeha me ka ʻeha ʻūlū, a no kekahi poʻe, ua like ia me ka ʻō ʻana, ka haʻalulu uila, ka ʻeha palupalu, a i ʻole ka ʻūlū.
ʻO ka hapa nui o ka manawa, ʻaʻole kēia he pilikia. Eia nō naʻe, hiki ke lilo i hōʻailona e hewa ana kekahi mea ʻē aʻe me kou kino. No laila, inā loaʻa iā ʻoe ka ʻeha o ka maka e hele mai a hele me ke kumu ʻole, e mau ana, a ʻaʻole e nalo, he mea nui loa ia e haʻi i kāu kauka e pili ana i ia mea.
He aha nā ala nui e hiki ai ke loaʻa ka ʻeha o ka maka?
ʻOiai hiki ke hana ʻia ka ʻeha o ka maka e nā kumu like ʻole, hiki ke hoʻokaʻawale ʻia i kekahi mau ʻano ma muli o kahi e hoʻomaka ai ka ʻeha. E nānā kākou i ke ʻano o lākou.
| ʻAno ʻeha | He wehewehe maʻalahi |
|---|---|
| ʻEha niho | ʻEha i hoʻokumu ʻia e nā lua a i ʻole nā abscess a puni ke aʻa o ka niho. |
| ʻEha hui ʻauwae | Hiki ke hana ʻia e nā kūlana e like me nā maʻi hui temporomandibular (TMJ disorders) a i ʻole nā haki ʻāwae. |
| ʻEha aʻalolo | ʻO ka Trigeminal Neuralgia (TN) kahi ʻeha koʻikoʻi e like me ka uila i hoʻokumu ʻia e nā maʻi pili i ke aʻalolo e like me ka neuralgia trigeminal. |
| ʻEha koko | Hoʻokumu ʻia ia e nā kūlana e like me ka migraines a i ʻole vasculitis. |
| ʻEha Maka Maʻamau ʻole (AFP) | He ʻeha lōʻihi ia ʻaʻole hiki ke loaʻa ma o nā hoʻokolohua e ʻike ai i kahi kumu maopopo. E nānā hou aku kākou i kēia. |
He mea hou aʻe e pili ana i ka ʻeha maka atypical (AFP)
Hiki i ke kanaka me ka AFP ke loaʻa i ka ʻeha mau o ka maka no nā mahina ʻekolu a ʻoi. Hiki ke hoʻonui ʻia kēia ʻeha e ka wela, ke anu, a i ʻole ka hoʻopā ʻana i ka maka. Wahi a kekahi poʻe e ʻoi aku ka ʻeha ke luhi a kaumaha paha lākou.
Hiki ke ʻike ʻia kēia ʻeha ma ka ʻaoʻao ʻākau a hema paha o ka maka, pinepine ma ka ʻauwae a i ʻole ka pepeiao. ʻAʻole like ia me ka ʻeha e hele ana ma ke aʻalolo. Ua wehewehe kekahi poʻe i kēia ʻeha penei:
- Me he mea lā e ʻā ana.
- He ʻeha hohonu e puka mai ana mai loko mai.
- ʻOiai ke ʻeha iki, ua ʻoi koke ka manaʻo, e like me ka pahi e hou ana.
- E like me ka paʻi a i ʻole ka paʻi lohi.
- Ua like ia me ka mae ʻana o ka ʻōpū, me he mau kui lā.
He aha nā kumu maʻamau o ka ʻeha o ka maka?
Ma waho aʻe o nā ʻano a mākou i kūkākūkā ai ma mua, aia kekahi mau kumu ʻē aʻe o ka ʻeha o ka maka.
- ʻEha poʻo: ʻOi aku nā kūlana e like me ka migraines.
- Nā maʻi Herpes: Nā ʻeha anu (Herpes simplex) a i ʻole nā maʻi chickenpox/herpes zoster (Herpes zoster/Shingles).
- Nā maʻi sinus: Nā maʻi o nā ʻeke ea ma ka lae a me nā papālina.
- Sialadenitis: ʻO ka pehu ʻana a me ka ʻeha i hoʻokumu ʻia e kahi maʻi o nā kelepa salivary.
- Nā ʻōpū niho: He hōʻiliʻili o ka pus a puni ka niho.
- Neuralgia trigeminal: He pilikia me ke aʻalolo e lawe mai ai i ka manaʻo i ka maka.
- ʻO ka maʻi ʻeha Myofascial: Nā pilikia me nā ʻiʻo o ka maka.
- Nā maʻi TMJ: Nā pilikia me ke hono e hana ana ke wehe a pani ʻoe i kou waha.
Pehea e mālama ʻia ai kēia?
ʻO ka mālama ʻana no ka ʻeha o ka maka e pili ana i ke kumu kumu.E hoʻāʻo mua kāu kauka i nā lāʻau lapaʻau ʻoki ʻole. Inā ʻaʻole lākou e holo pono, e noʻonoʻo ʻia ke ʻoki ʻana.
Lapaʻau ʻoki ʻole
- Nā inikini Botox®: Hoʻopau kēia mau inikini i nā ʻiʻo e hoʻoulu ai i ka ʻeha no kekahi manawa. Hoʻēmi kēia i nā ʻūmiʻi ʻiʻo a hoʻomaha i ka ʻeha.
- Nā lāʻau lapaʻau hoʻohui: Loaʻa i kekahi poʻe ka hōʻoluʻolu mai nā mea e like me ka lomilomi maka a me ka acupuncture. Inā pilikia ka sinus i kou ʻeha, hiki iā ʻoe ke hoʻāʻo i ka lomilomi sinus.
- Nā ālai aʻalolo: He mau inikini kēia i loko o ke aʻalolo. Hiki iā lākou ke hōʻoluʻolu i ka ʻeha no kekahi manawa.
- Nā lāʻau lapaʻau: Ua hōʻike ʻia nā noiʻi e hiki i kekahi mau lāʻau hoʻopaʻa ʻana, nā lāʻau antidepressants, a me nā mea hoʻomaha ʻiʻo ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha o ka maka. ʻOiai ʻaʻole kēia he mau lāʻau lapaʻau i hoʻolālā kūikawā ʻia e mālama i ka ʻeha, hiki iā lākou ke kōkua i ka kaohi ʻana i ka ʻeha ma ka hoʻopilikia ʻana i ka ʻōnaehana nerve.
ʻoki kino
- Hoʻoulu ʻana o ke aʻalolo peripheral (PNS): Pili kēia i ka hoʻouna ʻana i kahi au uila maikaʻi loa ma o kahi nila liʻiliʻi e hōʻoluʻolu i nā aʻalolo overactive e hoʻoulu ai i ka ʻeha.
- ʻO ka hoʻokaʻawale ʻana o ke koko (MVD): I kekahi manawa, ʻeha ke kumu o ke kaomi ʻana o ke kīʻaha koko i ke aʻalolo. Ma kēia ʻoki kino, hana ʻia kahi lua liʻiliʻi (craniotomy) i loko o ke poʻo a kau ʻia kahi pā liʻiliʻi ma waena o ke aʻalolo a me ke kīʻaha koko. Hoʻōki kēia i nā hōʻailona ʻeha mai ka hele ʻana.
- ʻO ke ʻoki kino radiotactic: Hoʻohana ʻia kahi mea i kapa ʻia ʻo Gamma Knife® e kuhikuhi i kahi kukuna o ka radiation i ke aʻalolo e hoʻoulu ai i ka ʻeha. He palupalu ia e like me ka pahi ʻoki kino, no laila he liʻiliʻi ka hōʻino ʻana i nā ʻiʻo a puni.
Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home?
Hiki iā ʻoe ke hoʻāʻo e ʻimi i ka hōʻoluʻolu ma ka home no ka ʻeha maka maʻamau a ʻaʻole koʻikoʻi.
- Hoʻopili hau: E ʻōwili i kahi ʻeke hau i loko o ke kāwele a kau ma luna o ka ʻeha no 20 mau minuke. A laila e hoʻomaha no 20 mau minuke a hoʻopili hou inā pono.
- Hiamoe me kou poʻo i hoʻokiʻekiʻe ʻia: E hoʻokiʻekiʻe iki i kou poʻo me nā uluna i ka wā e hiamoe ana.
- Lomilomi mālie: Lomilomi mālie i ka ʻāpana ʻeha, me ka hoʻohana ʻana i ke kaomi mālie.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha ma ke kūʻai ʻole ʻia e like me ka paracetamol a i ʻole ibuprofen. Eia nō naʻe, inā ʻoe e hoʻohana mau i kēia mau mea, pono ʻoe e nīnau i kāu kauka.
- ʻUmiʻumi wela: He mea maikaʻi ka hoʻopili ʻana i kahi ʻōmole wai wela no ka hoʻomaha ʻana i nā ʻiʻo ʻeha.
- Pale waha:Inā loaʻa iā ʻoe nā pilikia TMJ a i ʻole he maʻa mau kou o ka wili ʻana i kou mau niho i ka pō, ʻo ka hoʻohana ʻana i kahi pale waha i ʻōlelo ʻia e ke kauka hiki ke kōkua i ka hoʻēmi ʻana i ka ʻeha.
ʻO ka mea ʻino loa e hiki ke hana inā ʻaʻole mālama ʻia ka ʻeha o ka maka, ʻo ia ka hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. He mea kākaʻikahi loa, hiki ke lilo i hōʻailona o ka maʻi ʻaʻai poʻo a me ka ʻāʻī. No laila, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka inā loaʻa iā ʻoe kekahi ʻeha.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā loaʻa iā ʻoe ka ʻeha o ka maka e like me kēia, e ʻike koke i ke kauka.
- Inā hoʻomau ia me ka emi ʻole.
- Hele mai ia, nalo aku, a hele hou mai nō.
- Inā ʻaʻohe kumu maopopo no ia mea e hiki mai ana.
- Inā hele pū ka ʻeha me nā hōʻailona ʻē aʻe e like me ka paʻakikī o ka hanu ʻana, ka poniuniu, a i ʻole nā loli o ka ʻike.
He pilikia paha kēia? Āhea wau e pono ai e hele i ka ETU?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona me ka ʻeha o ka maka, e kāhea koke aku i kahi helu ulia pōpilikia a i ʻole e hele i ka Emergency Department (ETU) kokoke loa o ka haukapila.
- Nā hōʻailona o ka hāʻule puʻuwai: ʻeha ma ka lima, ka umauma, ka poʻohiwi, a i ʻole ka ʻāʻī.
- Nā hōʻailona o ka hahau ʻana: ka mae ʻana o ka maka, ka nāwaliwali ma kekahi ʻaoʻao o ke kino, ka paʻakikī o ka ʻōlelo ʻana.
Leka Lawe-Home
- Hiki ke hana ʻia ka ʻeha o ka maka e nā kumu like ʻole, mai kahi ʻeha poʻo maʻamau a hiki i kahi maʻi neurological koʻikoʻi.
- Mai hoʻowahāwahā i ka ʻeha i wehewehe ʻole ʻia, hoʻomau, a hoʻi hou paha.
- ʻO ke ala maikaʻi loa e ʻike ai i ke kumu kūpono a loaʻa ka lāʻau kūpono e ʻike i kāu kauka.
- Inā hele pū ka ʻeha o ka maka me nā hōʻailona e like me ka ʻeha o ka umauma a i ʻole ka mae ʻana o ka lālā, he pilikia ia. E hele koke i ka ETU.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka hou anu / Diaphoresis? He hou maʻamau anei kēia?
ʻAʻole kēia he hou maʻamau! Ke pāʻani nei ʻoe i ka lā/ma ka hale hoʻoikaika kino, hou ʻoe e hoʻomaʻalili i kou kino. Akā, ʻo nā 'Cold Sweats' he kūlana pilikia/hoʻoweliweli ola kahi, me ka ʻole o ka hoʻoikaika kino/i loko o kahi lumi me ka ʻole o ka wela, manaʻo koke ʻoe i ke anu, haʻalulu (Chills), a hou me he mea lā e ʻauʻau ana ʻoe! Hana ʻia kēia i ka wā e kū nei ke kino i kahi 'Fight or Flight response'.
💬 He aha nā kumu nui no ka manaʻo koke ʻana i ke anu a me ka puka ʻana o ka hou anu?
Eia nā kumu weliweli ʻehā ma hope o kēia! 1) 'Hoʻouka Puʻuwai' - ʻO ka hōʻailona nui a koʻikoʻi loa o ka make ʻana o nā ʻiʻo puʻuwai ʻo ia ka hou anu! 2) Ke emi nei ke kō koko i ka ʻole (Hypoglycemia / diabetic coma). 3) Ke kahe koko nui i loko o ke kino (Internal bleeding / stomach perforation). 4) Hoʻouka panic nui (Panic Attack - manaʻo e like me ʻoe e make ana).
💬 No ke aha ʻoe e hele koke ai i ka haukapila/kāhea aku i kahi kaʻa kaʻa ma kahi o ka noho ʻana ma ka home inā he hou anu kou?
ʻO kēia hou anu ka hōʻailona nui loa e komo ana ka mea maʻi i loko o ka coma a i ʻole ka cardiogenic shock i loko o kekahi mau minuke/hola! ʻOi loa aku inā hele pū kēia hou anu me 1) ʻEha umauma, 2) Paʻakikī ka hanu ʻana, 3) ʻEha ma ka lima hema a i ʻole ma lalo o ka ʻauwae, 4) Nausea/Dizziness, pono ʻoe e lawe koke iā ia i ka haukapila a loaʻa i kahi ECG!











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